Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Michael Goldberg, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1447600119

Jason Michael Goldberg, DDS is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Licensed in Arizona and North Carolina. Registered with an NPI since 2016.

Licensed in
AZ, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6520 N 7th Ave Ste 5
Phoenix, AZ 85013
Phone: (602) 277-5304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D012125 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 11912 (NC)

Record details

NPI number1447600119
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESOctober 9, 2024
Certification dateOctober 4, 2024
Mailing address8107 E Via Del Futuro, Scottsdale, AZ 85258-3712

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